Organization Active NPI

Growth & Wellness Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1710494588
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LW60804492 Issued in WA
Legal business name
GROWTH & WELLNESS COUNSELING PLLC
Practice address
1421 34TH Ave Ste 205
Seattle, WA 98122-3634
Phone
(206) 485-3557
Fax
(855) 440-1447
NPI assigned
Jan 3, 2018
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Keala Marshall, LICSWNPI 1831556653
Title
Governer
Phone
(206) 485-3557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LW60804492 WA Primary

Addresses

Primary practice location

1421 34TH Ave Ste 205
Seattle, WA 98122-3634

Mailing address

1421 34TH Ave Ste 205
Seattle, WA 98122-3634
Phone (206) 485-3557

Other practice location 1

5304 Ballard Ave NW
Seattle, WA 98107-4060
Phone (206) 484-4020

Other practice location 2

5306 Ballard Ave NW Ste 210
Seattle, WA 98107
Phone (206) 485-3557

National Provider Directory

National Provider Directory

Locations

5304 Ballard Ave NW
Seattle, WA 98107
Phone (206) 484-4020

5306 Ballard Ave NW
Ste 210
Seattle, WA 98107
Phone (206) 485-3557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1710494588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 34TH AVE STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223634",
            "telephone_number": "206-485-3557",
            "fax_number": "855-440-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 34TH AVE STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223634",
            "telephone_number": "206-485-3557",
            "fax_number": "855-440-1447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5304 Ballard Ave NW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981074060",
            "country_code": "US",
            "telephone_number": "206-484-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5306 Ballard Ave NW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98107",
            "country_code": "US",
            "telephone_number": "206-485-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWTH & WELLNESS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KEALA",
        "authorized_official_title_or_position": "GOVERNER",
        "authorized_official_telephone_number": "206-485-3557",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LW60804492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.